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Oliveira, A. (2018). The Primary Analytical Preoccupation - Time to wake up. IJP Open, 5:29.

(2018). IJP Open, 5:29

The Primary Analytical Preoccupation - Time to wake up

Ana Lucia Oliveira

The author describes maneuvers she used for limited periods of time and in specific clinical situations, especially for those patients to whom she refers as the sleeping ones. It is understood that the availability, reliability and active presence of the analyst are some of the most relevant elements in fully meeting the demands of these regressive cases. This paper draws inspiration from Winnicott’s ideas and support from the writings of Ferenczi, Kahr, Ogden, Bollas and others, to provide a foundation for, and to validate, the tools proposed, in agreement with the importance of theoretical pluralism, and calls for more detailed exposition of technical innovations. The author seeks to narcisisate the sleeping ones with her investment, through positivising maneuvers, gradually waking them up, which helps them to adhere to treatment, enabling a rebirth of hope and belief in the work that sets them on the path towards the world of desires, gratifications and frustrations. The author concludes that, through countertransference, intuition, and the “art of the technique” (Bollas, 2015), the analyst acquires the ability to fall ill to care for her patient in the manner in which the mother cares for her newborn; as proposed by Kahr (2016): Primary Psychoanalytic Preoccupation.

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